Porras-Ramírez G

Language: Spanish
References: 18
Page: 30-34
PDF size: 155.15 Kb.

ABSTRACT

Introduction: Damage control surgery is a concept of temporary measures that can be applied as part of staged celiotomy to solve a complex problem in the critically injured patients.
Materials and Methods: Four patients have been managed. 3 males and 1 female, maximum 19 and minimum 12 years old. Three of them presented multiple penetrating abdominal injuries and one with crushing abdominal trauma. For its categorizing and prognostic index, has been used the Pediatric Trauma Score and APACHE II Scale.
Results: In all cases the Pediatric Trauma Score was < 8 and the APACHE II Scale was = 33 points in one case, who died, and of 25-27 points in three cases, all of them alive. Considering that the mortality ranges with score over 27 points equals 89% and ranges with score under 27 equals 50%. ,
Conclusion: We conclude that trauma is more than just one anatomic- physiological injury, and the Damage Control Surgery in Pediatric Surgery is the best option in order not to worse hypothermia, coagulopathy and metabolic acidosis.

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